Introduction: The Case for Procedures in Primary Care



Dr. Jerri Neilsen had a problem. She needed to do a procedure that she had never performed on anyone. There were no specialists available to do it. The nearest specialist was a continent away. What did she do? According to her first-hand account in Ice Bound: A Doctor’s Incredible Battle for Survival at the South Pole, she received instructions by computer and by satellite telephone on how to do a Fine Needle Aspiration (FNA). She and her assistant, who was an Emergency Medical Technician (EMT), practiced the aspiration technique on some fruit, and then both she and her assistant did an FNA – on Dr. Jerri Neilsen [1].


Family Physician Male Physician Woman Physician Emergency Medical Technician Rural Physician 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Family Medicine, Robert Wood Johnson Medical SchoolUniversity of Medicine and Dentistry of New JerseyNew BrunswickUSA

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